What does each employer that has employees with occupational exposure to human blood or Opim need to have?

If you’re responsible for handling medical waste as part of your job, you’ve probably come across the OSHA Bloodborne Pathogens Standard. The regulation is meant to protect employees who have occupational exposure to blood or other potentially infectious materials (OPIM).

Published by the Occupational Safety and Health Administration (OSHA), the Bloodborne Pathogens Standard is a maze of definitions, prohibitions and mandates that can make your head spin. But noncompliance can put people at risk and subject your business to citations and penalties. To help you get a handle on things, here are some of the standard’s key requirements.

1. Have a Plan

An exposure control plan details in writing the steps an employer will take to eliminate or minimize exposure to blood or OPIM. This includes a list of job categories in which all employees have exposure and a list of job categories in which some employees have exposure. Employers must seek input for this plan from frontline workers.

2. Assume It’s All Infectious and Implement Controls

Under OSHA’s concept of universal precautions, all human blood and OPIM should be treated as if they contain bloodborne pathogens. Engineering and work practice controls must be implemented, such as safer medical devices, sharps disposal containers and hand hygiene.

3. Provide PPE

Personal protective equipment (PPE) is specialized clothing that includes gloves, gowns, lab coats, face shields or masks, eye protection, mouthpieces and resuscitation bags. Employers must provide and maintain this equipment at their own expense.

4. Offer Vaccinations

The hepatitis B vaccination must be offered to all occupationally exposed employees within 10 working days of initial assignment, after they complete the mandated bloodborne pathogens training.

5. Evaluate and Follow Up

Following an incident, an employer must make immediately available a confidential medical evaluation and follow-up (at the employer’s expense) that includes documentation of the circumstances surrounding the exposure.

6. Affix Labels

Warning labels are required on certain items, including containers of regulated waste and contaminated reusable sharps, as well as refrigerators and freezers housing blood or OPIM.

7. Keep Employees in the Know

Workers must undergo annual training on the standard’s requirements, including ways to control exposure, medical evaluation and follow-up protocols. Also, the employer must keep a sharps injury log, unless otherwise exempt.

US Bio-Clean provides streamlined, cost-effective disposal solutions that take the worry out of OSHA compliance. We also offer an online OSHA healthcare compliance system that gives users the ability to complete Bloodborne Pathogens training in less than an hour. Additionally, the system guides administrators through a step-by-step process to create a fully compliant exposure control plan.

1. A qualified health care professional is any health care provider who can provide counseling and perform all medical evaluations and procedures in accordance with the most current recommendations of the U.S. Public Health Service, including providing postexposure chemotherapeutic prophylaxis when indicated.

References

CDC. Basic Expectations for Safe Care Training Module 5 – Sharps Safety. Available at: https://www.cdc.gov/oralhealth/infectioncontrol/safe-care-modules.htm. Accessed May 8, 2018.

CDC. CDC guidance for evaluating health-care personnel for hepatitis B virus protection and for administering postexposure management. MMWR 2013:62(No.RR-10). Available at: https://www.cdc.gov/mmwr/PDF/rr/rr6210.pdf pdf icon[PDF-712K].

CDC. Exposure to Blood: What healthcare personnel need to know. Updated July 2003. https://www.cdc.gov/HAI/pdfs/bbp/Exp_to_Blood.pdf pdf icon[PDF-329K].

CDC. National Institute for Occupational Safety and Health. NIOSH Alert: Preventing needlestick injuries in health care settings. Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, CDC, National Institute for Occupational Safety and Health, 1999.

CDC. Updated U.S. Public Health Service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxis. MMWR 2001;50(No.RR-11). Available at: https://www.cdc.gov/mmwr/PDF/rr/rr5011.pdf pdf icon[PDF-333K].

CDC. Workbook for designing, implementing, and evaluating a sharps injury prevention program. Available at: https://www.cdc.gov/sharpssafety/.

Cleveland JL, Cardo DM. Occupational exposures to human immunodeficiency virus, hepatitis B virus, and hepatitis C virus: risk, prevention, and management. Dental Clinics of North America 2003;47(4):681-96.

Kuhar DT, Henderson DK, Struble KA, Heneine W, Thomas V, Cheever LW, Gomaa A, Panlilio AL; US Public Health Service Working Group. Updated US Public Health Service guidelines for the management of occupational exposures to human immunodeficiency virus and recommendations for postexposure prophylaxis. Infect Control Hosp Epidemiol. 2013;34(9):875–892.

US Department of Labor, Occupational Safety and Health Administration. 29 CFR Part 1910.1030. Occupational Exposure to Bloodborne Pathogens: Needlestick and Other Sharps Injuries: Final Rule. Federal Register 2001;66:5317–5325. Updated from and including 29 CFR Part 1910.1030. Occupational exposure to bloodborne pathogens; final rule. Federal Register December 6, 1991;56:64003–64182. Available at: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051external icon.